Individual provider Active NPI

Hannah Elaine Beaver, LM CPM

  • Midwife
  • Odessa, TX
National Provider Identifier
1922568948
Registry record updated Mar 25, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
MidwifeTaxonomy code 176B00000X
License
99372 Issued in TX
Practice address
1818 Boise Dr
Odessa, TX 79762-2105
Phone
(432) 425-6411
NPI assigned
Mar 25, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 25, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Midwife 176B00000X 99372 TX Primary

Addresses

Primary practice location

1818 Boise Dr
Odessa, TX 79762-2105

Mailing address

1818 Boise Dr
Odessa, TX 79762-2105
Phone (432) 425-6411

Other identifiers 1

IdentifierTypeStateIssuer
99372OtherTXMIDWIFERY LICENSE NUMBER

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
99372TXMDMental Health Counselor

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1553472000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1553472000000",
    "number": "1922568948",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1818 BOISE DR",
            "city": "ODESSA",
            "state": "TX",
            "postal_code": "797622105",
            "telephone_number": "432-425-6411"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1818 BOISE DR",
            "city": "ODESSA",
            "state": "TX",
            "postal_code": "797622105",
            "telephone_number": "432-425-6411"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEAVER",
        "first_name": "HANNAH",
        "middle_name": "ELAINE",
        "name_prefix": "Mrs.",
        "credential": "LM CPM",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-03-25",
        "last_updated": "2019-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "176B00000X",
            "taxonomy_group": "",
            "desc": "Midwife",
            "state": "TX",
            "license": "99372",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MIDWIFERY LICENSE NUMBER",
            "identifier": "99372",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Odessa, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.